Clinical Use of Neurologic Diagnostic Tests Madhu Soni key points Computed tomography (CT) is preferred over magnetic resonance imaging (MRI) to visualize hemorrhage and bony structures. Posterior fossa structures, such…
An Approach to Neurologic Symptoms Steven L. Lewis key points A careful neurologic history is the cornerstone of neurologic diagnosis. The goal of the neurologic history, followed by the examination…
The Neurologic Examination Robert K. Shin Neil C. Porter key points The neurologic examination provides a comprehensive assessment of the function of the human nervous system. When used in conjunction…
Behavioral Neurology I. Aphasia Broca aphasia Description: disordered grammar, nonfluent, linguistic dysprosody, poor naming, poor repetition, paraphasias Lesion: frontal operculum lower motor cortex, anterior division of left middle cerebral artery…
Coma and Head Injury I. Glasgow Coma Scale Eye opening Spontaneous 4 To voice 3 To pain 2 None 1 Best motor response Obeys commands 6 Localizes pain 5 Withdraws…
Autonomic Nervous System Testing I. Anatomy and Physiology Preganglionic sympathetic neurons are located in the intermediolateral cell column in the spinal cord from T2 to L1. Preganglionic parasympathetics are present…
Autoimmune Antibodies I. Paraneoplastic Autoantibodies Yo (anti-Purkinje cell antibody) Indication: cerebellar degeneration Tumor: breast, ovarian, endometrial, cervical Clinical features: cerebellar symptoms evolve over weeks to months and then stabilize. Only…
Neuroimaging Neuroimaging I. Computed Tomography Density Moiety Hounsfeld Units Bone 1,000 (more dense) Calcium 100 Acute blood 85 Tumor Possibly 30-60 Gray matter 35-40 White matter 25-30 CSF 0 Adipose…
